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Individual

KIMBERLY SHANI FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 1ST ST N, ALABASTER, AL 35007-8703
(205) 620-7004
Mailing address
PO BOX 836, EUTAW, AL 35462-0836

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036154169
IL
207R00000X
Internal Medicine Physician
Primary
31517
AL
208M00000X
Hospitalist Physician
036154169
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171379
AL
Enumeration date
06/10/2010
Last updated
10/21/2022
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